Individual
MALLORY BOOZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 BREEZEWOOD AVE # 5535, FAYETTEVILLE, NC 28303-5534
(910) 488-4100
Mailing address
3230 GLENMORE DR, HOPE MILLS, NC 28348-1701
(615) 482-2530
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12958
NC
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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